Individual provider Active NPI

James Louis Eshom, MD

  • Family Medicine Physician
  • Arcadia, CA
National Provider Identifier
1750399622
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A45229 Issued in CA
Practice address
406 S. First Ave
Arcadia, CA 91006-0000
Phone
(626) 445-9661
Fax
(626) 446-9508
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A45229 CA Primary

Addresses

Primary practice location

406 S. First Ave
Arcadia, CA 91006-0000

Mailing address

406 S 1St Ave
Arcadia, CA 91006-3829
Phone (626) 445-9661

Other identifiers 1

IdentifierTypeStateIssuer
00A452291MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071128000484 CA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 1850480849 Practice locations: Arcadia, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Internal Medicine
Education
Boston University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

406 S 1St Ave
Arcadia, CA 91006-3829
Phone (626) 445-9661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A45229CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Arcadia Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1750399622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 S 1ST AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063829",
            "telephone_number": "626-445-9661",
            "fax_number": "626-446-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S. FIRST AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910060000",
            "telephone_number": "626-445-9661",
            "fax_number": "626-446-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHOM",
        "first_name": "JAMES",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A452291",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.